Scientific Programme
Abstract
Register
Abstract
Year 2021
September 2021

SHBC1408

Abstract Title
Importance of service linkages for patients discharged from a psychiatric ward.
Authors

S.Y.J.WONG1, M.M.HENDRIKS1, S.L.S.ENG1, T.Z.G.BOEY1, Y.H.M.QUEY1

Institutions

Institute of Mental Health1

Background & Hypothesis

Purpose: To determine the effectiveness of linking patients to, and liaison with community partners for patients discharged from a psychiatric ward during the 2020 Circuit Breaker.

Case management strategies include:

Linkages to community partners i.e. FSC, DAC, COMIT, Step Down Care Centres Telephonic case management with patients, next-of-kin, and community partners e.g. post discharge, appointment reminder, and check-in calls

Methods

73 patients having (1) a First TCU (i.e. first outpatient appointment after discharge) scheduled in April – June 2020, and (2) having linked to at least one community partner, have been included in this study. 

Quantitative outcomes:

Readmission rates: in which at least 2 of a patient’s admissions are within 30 daysAppointment attendance rates: defined as actualizing First TCU

Microsoft Excel was used to determine outcomes based on patient records to Ward 35B.

 

Results

Out of these 73 patients, 

– 32 already known or had referrals to community partners made during admission (Group 1)

– 41 were not (Group 2)

Readmission Rate (within 30 days)

– 15.6% in Group 1 

– 12.2% in Group 2 

Appointment attendance Rates

– 75% in Group 1

– 63.4% in Group 2

Discussion & Conclusion

Due to Covid-19, multiple services previously operated by acute hospitals were disrupted due to safe-distancing measures and staff deployment. The involvement of community partners is helpful to ensure our patients remain well supported and monitored in the community, and promote compliance to treatment.

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